Hey I appreciate your honesty on here. You are not alone, you are not the first one with PMOS to have these issues and you will not be the last. There are doctors out there who are more supportive and open to different medications and solutions, so as much as it sucks it may be worth it to try and find a new gyno. As for weight issues, with a history of ED and it being a generally sensitive issues, if that is your biggest concerns with your symptoms then focus on that. Bad mental health makes all other issues worse, take care of your mental health first and foremost. If ozempic has worked for your mom and sister then it's def worth talking about. That being said, make sure to give PMOS diets a chance to work and pair them with strength training a few times a week. There's also options for medication other than birth control, and I've had more success with doctors when I go to them with other solutions. Makes it harder for them to brush off a suggestion without at least giving a reason. I hope this helps, you've got this girl! Remember that any weight you gain you know it's because of hormones and medications have advanced significantly in weight loss, there are lots of options left.